Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 31004371A | IN |
Y | 225XH1200X | Occupational Therapist - Hand | OT007117 | OH |
NPI | 1164595104 |
---|---|
Provider Name | Gina S Chewning |
First Address | Cincinnati, OH 45224-1913 |
Second Address | Cincinnati, OH 45267-2120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 14/12/2021 |